Alva Trujillo H, Delgado Urdapilleta J, Kunhardt Rasch J, Rodríguez Colorado S, Simonin Diaz G
Instituto Nacional de Perintología, México, D.F.
Ginecol Obstet Mex. 1994 Sep;62:266-8.
We are reporting the institutional experience of March 1992 to May 1993. Eleven patients were studied with a diagnostic of urogenital fistula, one of them was vesico-uterine, two uretero-vaginal and eight vesico-vaginal. Only to eight of the patients surgery correction was realized, one of them was aboarded by vaginal tract and seven by abdominal tract. Of the patients with abdominal aboarded, two cases were ureteroneocystostomies. The failure of the surgery was presented in two cases, both with abdominal aboarded. These data clears up that the urogenital fistula is a frequent complication in patients that are submitted to surgical gynecological procedures. The surgical success probably depends more of the surgical technique rather than aboarded tract.
我们报告了1992年3月至1993年5月在本机构的经验。对11例诊断为泌尿生殖瘘的患者进行了研究，其中1例为膀胱子宫瘘，2例为输尿管阴道瘘，8例为膀胱阴道瘘。仅对8例患者进行了手术矫正，其中1例经阴道途径，7例经腹部途径。在经腹部途径的患者中，2例进行了输尿管膀胱吻合术。2例手术失败，均为经腹部途径。这些数据表明，泌尿生殖瘘是接受妇科手术患者的常见并发症。手术成功可能更多地取决于手术技术而非手术途径。
